HYPERTENSION AND DIABETES MELLITUS
Hypertension (high blood pressure) is known as the silent killer. One often does not have any symptoms until a major incident, like a stroke or heart attack occur. While the cause is unknown, hypertension has been linked to high salt intake, being overweight, too much alcohol intake and a lack of exercise.
Hypertension is usually treated by changing lifestyle habits to alleviate the narrowing arteries and blood vessels. Lifestyle changes that your physician may recommend includes following a healthier diet, regular exercise, limiting the amount of alcohol you consume and maintaining a healthy weight. In addition, blood pressure lowering medications which aid in relaxing the blood vessels from constricting, slow the heartbeat or lessen the force of the heart's beating, may be beneficial.
Hypertension is a highly prevalent disease in Northern KwaZulu-Natal, especially in younger individuals. Long-standing, untreated or poorly treated hypertension can lead to serious complications like renal disease, stroke, retinal disease and coronary artery disease. Dr Mogambery emphasises the need for comprehensive treatment to prevent these complications as well as the importance of ruling out secondary causes of hypertension that may be contributing to the poorly controlled hypertension. With comprehensive diagnosis through thorough investigation, she is committed to working with her patients with hypertension to bring their blood pressure down using non-pharmacological and pharmacological methods.
The pancreas is responsible for breaking down the food we eat into simple sugar, glucose, so that the body may use it for energy. Diabetes mellitus develops when the pancreas produces too little, insulin or the insulin is produced but does not work as it should. This inability to break down sugar causes too much sugar to be present in the bloodstream. While Dr Mogambery firmly believes that prevention is better than cure, she is able to help manage those with prediabetes and chronic diabetes, live long healthy and happy lives.
Those with diabetes may be treated by altering their diet toward healthier choices, avoiding processed sugary and carbohydrate-rich foods, and exercising. Those with prediabetes may also prevent the condition from progressing with a healthier lifestyle. In addition, insulin injections and oral glucose-lowering medications may treat diabetes.
Diabetes mellitus can be a frustrating illness. One needs to make many lifestyle changes and often times the glucose remains uncontrolled through no fault of the individual. As the disease progresses, even type 2 diabetes may require insulin. Dr Mogambery strives to assist patients in achieving good glucose control using either oral agents or insulin. The entire aim of good glucose control is to avoid life-threatening complications like diabetic ketoacidosis and long-term complications like renal disease, stroke, heart attacks, peripheral vascular disease and the neurological conditions associated with prolonged hyperglycaemia. With her expertise in the management of this condition, she encourages collaboration with general practitioners to enhance and improve the lives of those with uncontrolled diabetes disease.